Failure of ivermectin per rectum to achieve clinically meaningful serum levels in two cases of Strongyloides hyperinfection
- PMID: 25918215
- PMCID: PMC4497912
- DOI: 10.4269/ajtmh.15-0077
Failure of ivermectin per rectum to achieve clinically meaningful serum levels in two cases of Strongyloides hyperinfection
Abstract
Two cases of Strongyloides hyperinfection are presented. Ivermectin was initially administered orally and per rectum pending the availability of subcutaneous (SC) preparations. In neither case did rectal suppositories of ivermectin achieve clinically meaningful serum values. Clinicians should use SC preparations of ivermectin as early as possible in Strongyloides hyperinfection and dissemination.
© The American Society of Tropical Medicine and Hygiene.
Similar articles
-
Case report: failure of subcutaneous ivermectin in treating Strongyloides hyperinfection.Am J Trop Med Hyg. 2008 Dec;79(6):853-5. Am J Trop Med Hyg. 2008. PMID: 19052292
-
Case report: Rectal adminstration of ivermectin to a patient with Strongyloides hyperinfection syndrome.Am J Trop Med Hyg. 2003 Apr;68(4):453-5. Am J Trop Med Hyg. 2003. PMID: 12875295
-
Serum ivermectin levels after enteral and subcutaneous administration for Strongyloides hyperinfection: a case report.Scand J Infect Dis. 2010 Mar;42(3):234-6. doi: 10.3109/00365540903443165. Scand J Infect Dis. 2010. PMID: 20085425
-
Prevention of strongyloides hyperinfection syndrome: a rheumatological point of view.Eur J Intern Med. 2009 Dec;20(8):744-8. doi: 10.1016/j.ejim.2009.09.001. Epub 2009 Sep 27. Eur J Intern Med. 2009. PMID: 19892301 Review.
-
Hyperinfection strongyloidiasis in a liver transplant recipient treated with parenteral ivermectin.Transpl Infect Dis. 2009 Apr;11(2):137-42. doi: 10.1111/j.1399-3062.2008.00358.x. Epub 2008 Dec 17. Transpl Infect Dis. 2009. PMID: 19144097 Review.
Cited by
-
Case Report: Ivermectin and Albendazole Plasma Concentrations in a Patient with Disseminated Strongyloidiasis on Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy.Am J Trop Med Hyg. 2018 Nov;99(5):1194-1197. doi: 10.4269/ajtmh.18-0487. Am J Trop Med Hyg. 2018. PMID: 30226142 Free PMC article.
-
Hemoptysis in the Immunocompromised Patient: Do Not Forget Strongyloidiasis.Trop Med Infect Dis. 2019 Feb 12;4(1):35. doi: 10.3390/tropicalmed4010035. Trop Med Infect Dis. 2019. PMID: 30759812 Free PMC article.
-
Strongyloidiasis.Nat Rev Dis Primers. 2024 Jan 25;10(1):6. doi: 10.1038/s41572-023-00490-x. Nat Rev Dis Primers. 2024. PMID: 38272922 Review.
-
Successful use of subcutaneous ivermectin for the treatment of Strongyloides stercoralis hyperinfection in the setting of small bowel obstruction and paralytic ileus in the immunocompromised population.BMJ Case Rep. 2018 Jun 4;2018:bcr2017223138. doi: 10.1136/bcr-2017-223138. BMJ Case Rep. 2018. PMID: 29866667 Free PMC article.
References
-
- Kitzman D, Wei S-Y, Fleckenstein L. Liquid chromatographic assay of ivermectin in human plasma for application to clinical pharmacokinetic studies. J Pharm Biomed Anal. 2006;40:1013–1020. - PubMed
-
- Nonaka D, Takaki K, Tanaka M, Umeno M, Takeda T, Yoshida M, Haraguch Y, Okada K, Sawae Y. Paralytic ileus due to strongyloidiasis: case report and review of the literature. Am J Trop Med Hyg. 1998;59:535–538. - PubMed
-
- Chiodini PL, Reid AJ, Wiselka MJ, Firmin R, Foweraker J. Parenteral ivermectin in Strongyloides hyperinfection. Lancet. 2000;355:43–44. - PubMed
-
- Marty FM, Lowry CM, Rodriguez M, Milner DA, Pieciak WS, Sinha A, Fleckenstein L, Baden LR. Treatment of human disseminated strongyloidiasis with a parenteral veterinary formulation of ivermectin. Clin Infect Dis. 2005;41:e5–e8. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources